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NPI Code Detail

MEDICARE: MR. DAVID RALPH DENHOLM LPCC-S

MEDICARE: MR. DAVID RALPH DENHOLM LPCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE332OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E332OTHEROHSTATE LICENSE FOR LPCC

General Provider Information

NPI Number : 1447320320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID RALPH DENHOLM LPCC-S
Provider Business Mailing Address
First Line : 2161 EASTWOOD AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-2179
Country : US
Telephone Number : 330-798-1220
Fax Number : 330-798-1225
Provider Business Practice Location Address
First Line : 2161 EASTWOOD AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-2179
Country : US
Telephone Number : 330-798-1220
Fax Number : 330-798-1225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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